Consulting Services

Consulting Module #13

Leveraging Clinical Resources

Clinical resources are highly skilled and add critical insight into claimant functionality. Do you know which claims your clinical resources need to be involved in and when is the optimal time to obtain their feedback? Does your organization have a process that facilitates this?

PDA Offering

PDA will evaluate your claim process and how clinical input integrates with it to identify opportunities at the right time. We’ll offer insights and recommendations designed to improve quality, produce clear assessments of capacity, and achieve actionable input.

Consulting Module #13

Leveraging Clinical Resources


Clinical resources are highly skilled and add critical insight into claimant functionality. Do you know which claims your clinical resources need to be involved in and when is the optimal time to obtain their feedback? Does your organization have a process that facilitates this?


PDA Offering

PDA will evaluate your claim process and how clinical input integrates with it to identify opportunities at the right time. We’ll offer insights and recommendations designed to improve quality, produce clear assessments of capacity, and achieve actionable input.

Outcomes

Establishes the criteria for high-quality clinical involvement that makes a difference in the claim and moves it forward toward desirable outcomes.

Identifies a best-practice structure that facilities a clear articulation of claimant functional capacity and RTW opportunities.

Generates a foundation for an effective clinical quality program that provides quantitative oversight and leads to continuous improvement.

Identifies enhancements to analyst referrals and holds them accountable for targeted questions.

Outcomes

Establishes the criteria for high-quality clinical involvement that makes a difference in the claim and moves it forward toward desirable outcomes.

Identifies a best-practice structure that facilities a clear articulation of claimant functional capacity and RTW opportunities.

Generates a foundation for an effective clinical quality program that provides quantitative oversight and leads to continuous improvement.

Identifies enhancements to analyst referrals and holds them accountable for targeted questions.

Duration

  • Review current guidelines for both the analyst referrals and the clinician review output. 
  • Assess current clinical QA program.

Interview clinical resources and key business resources.

Develop report with observations and actionable recommendation.

Duration

  • Review current guidelines for both the analyst referrals and the clinician review output. 
  • Assess current clinical QA program.

Interview clinical resources and key business resources.

Develop report with observations and actionable recommendation.

For more information contact Mark Sawyer

(207)747-4308

Consulting Modules

#1
STD Claim
Management